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dc.contributor.authorCamargo Becerra, Miguel Ángelspa
dc.contributor.authorOsorio-Chica, Mauriciospa
dc.contributor.authorMarín Marmolejo, Juan Carlosspa
dc.contributor.authorJaimes Montoya, Isabel Cristinaspa
dc.contributor.authorSarmiento Samaca, Luis Antoniospa
dc.date.accessioned2020-10-27T14:19:13Z
dc.date.available2020-10-27T14:19:13Z
dc.date.issued2020-07-22
dc.identifier.issn2382-4603
dc.identifier.issn0123-7047
dc.identifier.urihttp://hdl.handle.net/20.500.12749/9898
dc.description.abstractIntroducción: La enfermedad hemorroidal es la patología proctológica más frecuente, tiene una prevalencia de entre 4.4% y 36.4%. Sin embargo, solo el 10% de los casos requiere manejo quirúrgico. Se estima que más del 50% de los mayores de 50 años puede presentar algún problema derivado de esta enfermedad. El objetivo de presente artículo es describir el manejo quirúrgico de hemorroides internas en un centro de referencia de Manizales entre el 2010 y el 2017 y compararlo con los estudios relacionados al respecto, para así mejorar las decisiones quirúrgicas en pacientes con hemorroides. Metodología: Es un estudio retrospectivo, analítico, realizado con una población con diagnóstico de hemorroides grado II, III y IV sometida a hemorroidectomía entre el 2010 y 2017 en un centro de referencias de Manizales (Caldas), con seguimiento de 12 meses. Resultados: De 809 pacientes diagnosticados, la principal indicación quirúrgica fue el sangrado (38.7%). La mayoría correspondieron a grado III (36.6%). La técnica convencional fue la más realizada (69.9%). De las no convencionales (30.1%), el abordaje endoscópico para ligadura de bandas se utilizó en 20 pacientes (21.5%), bisturí armónico (4.3%) y con engrapadora PPH (4.3%). Discusión: En este estudio la técnica convencional fue la más realizada, el dolor posoperatorio es una de las variables de más impacto clínico en los pacientes llevados a hemorroidectomía, por lo que se busca, con las alternativas quirúrgicas, la disminución del dolor en las hemorroides. Conclusión: Se encontraron diferencias estadísticamente significativas entre el tiempo quirúrgico, el nivel de especialización y complicaciones. Las técnicas convencionales siguen siendo las más utilizadas. El manejo endoscópico, la engrapadora PPH y el bisturí armónico ofrecen alternativas seguras y válidas para el manejo de esta patología.spa
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dc.publisherUniversidad Autónoma de Bucaramanga UNAB
dc.relationhttps://revistas.unab.edu.co/index.php/medunab/article/view/3822/3284
dc.relationHttps://revistas.unab.edu.co/index.php/medunab/article/view/3822/3297
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dc.relation.urihttps://revistas.unab.edu.co/index.php/medunab/article/view/3822
dc.rightsDerechos de autor 2020 MedUNAB
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.sourceMedUNAB; Vol. 23 Núm. 2 (2020): agosto - noviembre 2020: Cirugía general, Coronavirus, Hemorroides; 251-260
dc.subjectHemorroides
dc.subjectDolor Posoperatorio
dc.subjectComplicaciones Posoperatorias
dc.subjectCuidados Posoperatorios
dc.subjectProcedimientos Quirúrgicos Operativos
dc.titleManejo quirúrgico de hemorroides internas en un centro de referencia de Manizales del 2010 al 2017
dc.title.translatedSurgical management of internal hemorrhoids at a referral center in Manizales from 2010 to 2017MANAGEMENT OF INTERNAL HEMORROIDS IN A MANIZAL REFERENCE CENTER FROM 2010 TO 2017: RETROSPECTIVE STUDY
dc.type.driverinfo:eu-repo/semantics/article
dc.type.localArtículospa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1f
dc.subject.keywordsHemorrhoidseng
dc.subject.keywordsPostoperative Paineng
dc.subject.keywordsPostoperative Complicationseng
dc.subject.keywordsPostoperative Careeng
dc.subject.keywordsOperative Surgical Procedureseng
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga UNABspa
dc.type.hasversionInfo:eu-repo/semantics/publishedVersion
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.identifier.repourlrepourl:https://repository.unab.edu.co
dc.description.abstractenglishIntroduction: Hemorrhoidal disease is the most frequent proctological pathology, with a prevalence ranging between 4.4% and 36.4%. However, only 10% of cases require surgical procedures. More than 50% of people over the age of 50 are estimated to have a problem derived from this disease. This article’s objective is to describe the surgical management of internal hemorrhoids at a referral center in Manizales between 2010 and 2017, to compare it to related studies, in order to improve surgical decisions regarding patients with hemorrhoids. Methodology: This is a retrospective, analytical study performed with a population diagnosed with second-, third- or fourth-degree hemorrhoids who were subject to a hemorrhoidectomy between 2010 and 2017 at a referral center in Manizales (Caldas), with a 12-month follow-up period. Results: Out of 809 diagnosed patients, the main surgical indication was bleeding (38.7%). Most corresponded to third-degree hemorrhoids (36.6%). Conventional techniques were performed the most (69.9%). With respect to non-conventional techniques (30.1%), endoscopic approaches for band ligation were performed on 20 patients (21.5%), harmonic scalpels were used on 4.3% and PPH staplers on 4.3%, Discussion: Conventional techniques were used most in this study. Postoperative pain is one of the most clinically impactful variables on patients subject to hemorrhoidectomies, for which reason pain reduction during hemorrhoids is sought through surgical alternatives. Conclusion: Statistically significant differences were found between surgical time, the level of specialization and complications. Conventional techniques continue to be the most widely used. Endoscopic approaches, PPH staplers and harmonic scalpels offer safe and valid alternatives for handling this pathology.eng
dc.identifier.doi10.29375/01237047.3822
dc.type.redcolhttp://purl.org/redcol/resource_type/CJournalArticle
dc.rights.creativecommonsAttribution-NonCommercial 4.0 International*


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